1200 King County  
Courthouse  
King County  
516 Third Avenue  
Seattle, WA 98104  
Meeting Minutes  
Board of Health  
Metropolitan King County Councilmembers:  
Teresa Mosqueda, Chair; Jorge Barón, Reagan Dunn;  
Alternate: Sarah Perry  
City of Seattle Members:  
Joy Hollingsworth, Robert Kettle, Sara Nelson  
Alternate: Bruce Harrell  
Sound Cities Association Members:  
Heather Koellen, RN, BSN, CCRN, Vice Chair; Penny Sweet  
Alternates: Amy Lam, Cheryl Rakes  
Public Health, Facilities, and Providers:  
Butch de Castro, PhD, MSN/MPH, RN, FAAN; Lisa Chew, MD,  
MPH; Katherine Gudgel, MS;  
Alternate: Patricia Egwuatu, DO  
Consumers of Public Health:  
Quiana Daniels, BS, RN, LPN, Vice Chair; Robin Narruhn, PhD,  
MN, RN;  
Alternate: Mustafa Mohammed, MBCHB, MHP, AAC  
Community Stakeholders:  
Christopher Archiopoli, Victor Loo  
Alternate: Francoise Milinganyo  
American Indian Health Commission:  
Esther Lucero (Diné), MPP; Alternate: Abigail Echo-Hawk  
(Pawnee), MA  
Dr. Faisal Khan, Director, Seattle-King County Department of  
Public Health  
Staff: Joy Carpine-Cazzanti, Board Administrator -  
KCBOHAdmin@kingcounty.gov  
1:00 PM  
Thursday, November 21, 2024  
REVISED AGENDA  
Hybrid Meeting  
Hybrid Meetings: Attend Board of Health meetings in person in Council  
Chambers (Room 1001), 516 3rd Avenue in Seattle, or through remote  
access. Details on how to attend and/or provide public comment remotely  
are listed below.  
Board of Health  
Meeting Minutes  
November 21, 2024  
HOW TO PROVIDE PUBLIC COMMENT:  
1. In person: You may attend the meeting in person in Council Chambers.  
2. Remote attendance on the Zoom Webinar: You may provide oral public  
comment at the meeting by connecting to the meeting via phone or  
computer using the ZOOM application at https://zoom.us/, and entering  
the Webinar ID below.  
Join by Telephone  
Dial: US : +1 253 215 8782  
Meeting ID: 836 2614 2088  
If you do not wish to provide public comment, please help us manage the  
callers by using one of the options below to watch or listen to the  
meeting.  
HOW TO WATCH/LISTEN TO THE MEETING: There are two ways to watch  
or listen in to the meeting:  
1) Stream online via this link https://king-county-tv.cablecast.tv/ or input  
the link web address into your web browser.  
2) Watch King County TV on Comcast Channel 22 and 322(HD) and  
Astound Broadband Channels 22 and 711(HD).  
Board of Health  
Meeting Minutes  
November 21, 2024  
1.  
2.  
Call to Order  
The meeting was called to order at 1:00 p.m.  
Roll Call  
10 -  
Present:  
Archiopoli, Barón, Chew, Daniels, Dunn, Gudgel, Kettle, Loo, Mosqueda  
and Mohammed  
7 - de Castro, Hollingsworth, Koellen, Lucero, Narruhn, Nelson and Sweet  
Excused:  
3.  
Announcement of Any Alternates Serving in Place of Regular  
Members  
Boardmember Mustafa served in place of Boardmember Narruhn.  
Boardmember Milinganyo was also in attendance.  
4.  
5.  
Approval of Minutes of October 17, 2024  
Boardmember Barón moved to approve the minutes of the October 17, 2024, meeting  
as presented. Seeing no objection, the Chair so ordered.  
Public Comments  
The following people spoke:  
Mike Thomas  
Mary Wictor  
6.  
Chair's Report  
The Chair briefed the Board on the upcoming agenda; announced that Dr. Faisal Kahn,  
Director, of Public Health - Seattle & King County, would provide a written report this  
month; and reminded Boardmembers that the December 18, 2024, Board of Health  
meeting will be cancelled.  
Board of Health  
Meeting Minutes  
November 21, 2024  
Discussion and Possible Action  
7.  
R&R No. BOH24-05  
A RULE AND REGULATION relating to on-site sewage treatment and disposal systems; amending R&R  
3, Part 13, Section 1, as amended, and BOH 13.04.050, R&R 3, Part 13, Section 3, as amended, and  
BOH 13.04.070, R&R 99, Section 2 (part), as amended, and BOH 13.08.010, R&R 3, Part 1, Section 5,  
as amended, and BOH 13.08.020, R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.140,  
R&R 99-01, Section 2 (part), as amended, and BOH 13.08.152, R&R 99-01, Section 2 (part), and BOH  
13.08.226, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.284, R&R 3, Part 1, Section 5  
(part), as amended, and BOH 13.08.300, R&R 99-01, Section 2, and BOH 13.08.342, R&R 3, Part 1,  
Section 5 (part), as amended, and BOH 13.08.350, R&R 3, Part 1, Section 5 (part), as amended, and  
R&R 13.08.380, R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.490, R&R 3, Part 10,  
Section 2, as amended, and BOH 13.12.030, R&R 3, Part 10, Section 3(B), as amended, and BOH  
13.12.050, R&R 3, Part 12, Section 1, as amended, and BOH 13.16.010, R&R 3, Part 2, Section 1, as  
amended, and BOH 13.20.010, R&R 3, Part 2, Section 2(B), as amended, and BOH 13.20.030, R&R  
99-01, Section 2, as amended, and BOH 13.20.035, R&R 3, Part 2, Section 3, as amended, and BOH  
13.20.040, R&R 3, Part 3, Section 1, and BOH 13.24.010, R&R 3, Part 3, Section 2, as amended, and  
BOH 13.24.020, R&R 3, Part 3, Section 3, as amended, and BOH 13.24.030, R&R 3, Part 3, Sections 1  
and 4, as amended, and BOH 13.28.010, R&R 3, Part 4, Section 2, as amended, and BOH 13.28.020,  
R&R 3, Part 4, Section 3, as amended, and BOH 13.28.030, R&R 3, Part 4, Section 7, as amended,  
and BOH 13.28.070, R&R 3, Part 5, Section 2(A), as amended, and BOH 13.36.010, R&R 3, Part 5,  
Section 3(C), and BOH 13.40.030, R&R 3, Part 5, Section 5, and BOH 13.48.010, R&R 3, Part 6,  
Section 1, as amended, and BOH 13.52.010, R&R 3, Part 7, Section 5, and BOH 13.56.050, . R&R  
99-01, Section 2 (Part), as amended, and BOH 13.56.054, R&R 99-01, Section 2 (part), as amended,  
and BOH 13.60.005, R&R 3, Part 8, Section 1, as amended, and BOH 13.60.010 , R&R 08-03, Section  
145, and BOH 13.60.030, R&R 3, Part 9, Section 1, as amended, and BOH 13.64.010, R&R 3, Part 9,  
Section 2, as amended, and BOH 13.64.020, R&R 3, Part 11, Section 1, as amended, and BOH  
13.68.010, R&R 3, Part 11, Section 2, as amended, and BOH 13.68.020, R&R 3, Part 11, Section 3, as  
amended, and BOH 13.68.030, and R&R 3, Part 11, Section 5, as amended, and BOH 13.68.050,  
adding new sections to BOH chapter 13.04, adding new sections to BOH chapter 13.08, recodifying  
BOH 13.08.226,.repealing R&R 99-01, Section 2 (part), and BOH 13.08.024, R&R 08-03, Section 12,  
and BOH 13.08.055, R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.060, R&R 3, Part 1,  
Section 5 (part), as amended, and BOH 13.08.070, R&R 99-01, Section 2 (part), and BOH 13.08.072,  
R&R 99-01, Section 2 (part), as amended, and BOH 13.08.084, R&R 3, Part 1, Section 5 (part), as  
amended, and BOH 13.08.090, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.114, R&R  
08-03, Section 21, and BOH 13.08.115, R&R 08-03, Section 23, and BOH 13.08.117, R&R 08-03,  
Section 27, and BOH 13.08.131, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.132, R&R  
99-01, Section 2 (part), and BOH 13.08.134, R&R 08-03, Section 30, and BOH 13.08.141, R&R 08-03,  
Section 32, and BOH 13.08.151, R&R 08-03, Section 34, and BOH 13.08.154, R&R 09-03, Section 37,  
and BOH 13.08.175, R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.180, R&R 3, Part 1,  
Section 5 (part), as amended, and BOH 13.08.190, R&R 99-01, Section 2 (part), as amended, and BOH  
13.08.202, R&R 08-03, Section 40, and BOH 13.08.205, R&R 99-01, Section 2 (part), and BOH  
13.08.212, R&R 08-03, Section 41, and BOH 13.08.213, R&R 99-01, Section 2 (part), and BOH  
13.08.226, R&R 08-03, Section 47, and BOH 13.08.257, R&R 08-03, Section 49, and BOH 13.08.261,  
R&R 08-03, Section 50, and BOH 13.08.263, R&R 3, Part 1, Section 5 (part), as amended, and BOH  
13.08.280, R&R 08-03, Section 55, and BOH 13.08.287, R&R 3, Part 1, Section 5 (part), as amended,  
and BOH 13.08.290, R&R 08-03, Section 56, and BOH 13.08.305, R&R 3, Part 1, Section 5 (part), as  
amended, and BOH 13.08.320,  
R&R 08-03, Section 57, and BOH 13.08.3215, R&R 99-01, Section 2 (part), as amended, and BOH  
13.08.322, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.324, R&R 08-03, Section 60, and  
BOH 13.08.327, 2R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.330, R&R 99-01,  
Section 2 (part), and BOH 13.08.341, R&R 08-03, Section 61, and BOH 13.08.346, R&R 3, Part 1,  
Board of Health  
Meeting Minutes  
November 21, 2024  
Section 5, as amended, and BOH 13.08.350, R&R 99-01, Section 2 (part), as amended, and BOH  
13.08.372, R&R 99-01, Section 2 (part), and BOH 13.08.402, R&R 99-01, Section 2 (part), and BOH  
13.08.406, R&R 3, Part 1, Section 5 (part), as amended, and BOH 13.08.410, R&R 08-03, Section 69,  
and BOH 13.08.424, R&R 99-01, Section 2 (part), and BOH 13.08.426, R&R 08-03, Section 72, and  
BOH 13.08.465, R&R 3, Part 1, Section 5, as amended, and BOH 13.08.470, R&R 99-01, Section 2  
(part), as amended, and BOH 13.08.472, R&R 08-03, Section 74, and BOH 13.08.477, R&R 08-03,  
Section 76, and BOH 13.08.482, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.484, R&R  
09-03, Section 79, and BOH 13.08.493, R&R 08-03, Section 80, and BOH 13.08.4934, R&R 08-03,  
Section 81, and BOH 13.08.4937, R&R 99-01, Section 2 (part), as amended, and BOH 13.08.496, R&R  
3, Part 1, Section 5 (part), as amended, and BOH 13.08.500, R&R 08-03, Section 87, and BOH  
13.08.505, R&R 99-01, Section 2 (part), and BOH 13.08.512, R&R 99-01, Section 2 (part), and BOH  
13.08.516, R&R 08-03, Section 88, and BOH 13.08.520, prescribing penalties, and establishing an  
effective date; enacted pursuant to RCW 43.20.050 and 70.05.060, including the latest amendments or  
revisions thereto.  
Councilmember Barón made a motion to defer Item 7. The motion carried.  
The Chair announced that Item 7 would be deferred to the February 21, 2025, Board of  
Health Agenda.  
A Public Hearing was held and closed. This matter was Deferred  
Public Hearing Required  
Resolution No. 24-07  
8.  
A RESOLUTION identifying the American Indian Health Commission for Washington State's regular  
member to serve on the King County Board of Health.  
Joy Carpine-Cazzanti, Board of Health Administrator, briefed the Board.  
Jolene Williams made remarks and thanked the Board.  
A motion was made by Boardmember Barón that this Resolution be Passed.  
The motion carried by the following vote:  
9 -  
Yes:  
Archiopoli, Barón, Chew, Daniels, Gudgel, Kettle, Loo, Mosqueda and  
Mohammed  
8 -  
Excused:  
de Castro, Dunn, Hollingsworth, Koellen, Lucero, Narruhn, Nelson and  
Sweet  
Board of Health  
Meeting Minutes  
November 21, 2024  
9.  
Resolution No. 24-08  
A RESOLUTION identifying the American Indian Health Commission for Washington State's alternate  
member to serve on the King County Board of Health.  
Joy Carpine-Cazzanti briefed the Board.  
Boardmember Barón offered an oral amendment to insert the name "Angela Young" in  
the blank space on line12. Seeing no objection, the Chair so ordered.  
Angela Young made remarks and thanked the Board.  
A motion was made by Boardmember Barón that this Resolution be Passed as  
Amended. The motion carried by the following vote:  
9 -  
Yes:  
Archiopoli, Barón, Chew, Daniels, Gudgel, Kettle, Loo, Mosqueda and  
Mohammed  
8 -  
Excused:  
de Castro, Dunn, Hollingsworth, Koellen, Lucero, Narruhn, Nelson and  
Sweet  
Briefings  
10.  
BOH Briefing No. 24-B22  
A briefing discussing infant and birthing parents, issues, healthcare access and options.  
Vazaskia Crockrell, Director, Community Health Services, briefed the Board and  
answered questions.  
Michelle Sarju, Parent Child Health Administrator, briefed the Board and answered  
questions.  
Dila Perera, Executive Director, Open Arms Perinatal Services, briefed the Board and  
answered questions.  
This matter was Presented  
11.  
2025 Legislative Priorities  
Mac Nicholson, Director, Government Relations, briefed the Board and answered  
questions.  
Simon Villa, Government Relations, Public Health - Seattle & King County, briefed the  
Board and answered questions.  
Ginna Hernandez, Policy Analyst, Public Health - Seattle & King County, briefed the  
Board and answered questions.  
Dr. Faisal Khan spoke and answered questions.  
Board of Health  
Meeting Minutes  
November 21, 2024  
12.  
13.  
14.  
Preparing the 2025 Board of Health Workplan  
Joy Carpine-Cazzanti briefed the Board and answered questions.  
Board Member Updates  
No updates were given.  
Other Business  
Adjournment  
The meeting was adjourned at 2:57 p.m.  
If you have questions or need additional information about this agenda,  
please call (206) 263-0365, or write to Joy Carpine-Cazzanti, Board of  
Health Administrator via email at KCBOHAdmin@kingcounty.gov